EFTA01402984.pdf

Deutsche Bank Private Wealth Management Authorization for Asset Movement For Non-Retirement Accounts The undefh>gned heteby authorizes and directs Deutsche Bank Alex. Brown CDeutsche Bank Alex. Brown' or "DBAB'I to follow the below asset movemam inslruclions. If you wish to request multiple wires, checks, journals or free defiveiies, please use the long form. IDBAB Account Name: Jeffrey E Epgtsln Ancouni Journal Q Journal Funds in the amount of $ Q Journol Holdings: orty/Symbol/Secunly: Otv/Symbol/Securily. Q Journal All Holdings To DBAB Account»: Account Name; Wire [(] Wire federal funds in the amount of $ 169S.6B Bank ofAmorica To Bank Name: Cliiy / Slate: ABA fl. Further credit to Intermediaty Rnancial Institution (Optionall /rxxiunl #: Marne: intkiselB Benoliciaryliifciiimiun: Eeneiioiary Moi« Yulia SHingkava .recount (I: /rUiim^lnstiucuns: flXP.-Wlinib. Flue Oefrreriee Q Please deliver the securities indicated below lo: 31 ecu Ni me of Receiving Rtm: Oiedt C J Issue a check in the amount of S RedpiHifs Name: Rfsdpiant's MaiSrig Address: Account Name: payalteio: Account Number: EFTA01402984 at Receivtng Firm 01r/Symbol/Securny: Qv/Synbol/Sseunty. Stnnding Aufhcriaittan The undersigned hereby requests that thrs euthorizatron ecl as a sianding authorization. The undersigi ed understands and agrees that this aulhodzalion will remain in effect umil Deutsche Bank Alex. Brown requests a new auinorlzaiion fho undersigned auihjnzes Deutsche Bank Alex. Brown to Issue the wire, check or journal on the The undersigned further euthorizes Dauischs Bank Alex. Srown to accept verbal inslruclions from ihe undersigned In wire funds, issue checks or journal funds toffrom the above Hslod accounts. The undersigned will provide verbal instructions as to the date and the amount of the wire, check or journal. If ihe undersigned decides 10 vary either the date or the amount of the wire, check or journal, the undersigned hereby eulhonzos Deutsche Bank Alex Brown to accept the verbal irtsVructions from the urrdersigned regarding the change or changes The undersigned further understands and agrees to comply with the procedures of Deutsche Bank Alex. Brown to verify the authorization and accuracy of verbal inslruclions. day of for a term of The undersigned heieby acknrrwiedges that (i) the information contained in this form is compieie and accurate to the best knowledge of the undersigned; and fi) the undersigned is responsible for the method of transmission of any instructions issued putsuanr to this authonzailon. If the undersigned elects to transmit any such instructions via tax (including de,skiop fax), via email or as an image allaohmont to email (e.g., as a PDF, TIF or other image of such instructions), the undersigned understands and agrees that the undersigned bears the risk of toss arising from such meihod of transmission in the event of transmission errors, misundsrsiandings irnpo'soraiions, iransmissnn by unauthorized persors, fergary or imercepis. For trusts or other enitlies, the undersigned further acknowledges that the undersigned is dJthonzcd lo issue the above asset movement in.siruCiions under the terms of the governing dooumenls and any applicabie laws. The undeisigncd hereby releases and holds harmless Deutsche Bank Alex. Brown from and againsi loss from any action, claim or demand of any person as a result of Deutsche Bank Alex Brawn's receipt of or compliance with this authorization and/or any instructions that may be given lo Deutsche Bank Alex. Brawn pursuant to this authorization Tinduding any standing aulhurizaiion). The undersigned understands lhal Deutsche Bank Alex. Brown may, but is not EFTA01402985 required to, seek verification of the undersigned's instructions by cell back and that Deutsche Bank Alex Brown may in its sole discreiion refuse to execute such instructions (including standing inscrucuons) given pursuant to this authorization, without incurring any Irabiaiy. if Deutsche Bank Alex. Brown has reason lo believe such instructions (or standing instructions) have not been provided by the undersigned. The utioersignec furiher understands ihalDwtschs Bank Ale" Brown retains the right to refuse to execute any instructions to transfer funds or securities to any accouni(s) ihouf written iimmetton"oating original signaturo(s) of the undersigned ,gprsuani to this auihonzaiion will Darren K IndyKe 12/29/15 "Biti Prim Name Signaiuir Print Name Stgnaiur" Date 111111111111111111 L- LOA IO-FWM-0177S (12/10) EFTA01402986